The nurse caring for a patient with a 3-day postoperative bowel resection observes that the suction apparatus is not working and the patient is becoming distended. The initial imple-mentation should be to:
1. pull tube outward 6 inches.
2. push tube further 3 inches.
3. change the patient's position.
4. irrigate with 60 mL of normal saline.
3
The simplest Implementation is always best to do initially. Change the patient's position. Any tube adjustment is done later and with very small amounts. Irrigation may also be done later, but with 30 to 40 mL of saline.
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A type IV hypersensitivity reaction causes which result?
a. Antibodies coating mast cells by binding to receptors that signal its degranulation, followed by the discharge of preformed mediators b. Antibodies binding to soluble antigens that were released into body fluids and the immune complexes being deposited in the tissues c. Lymphokine-producing Th1 cells directly attacking and destroying cellular targets d. Antibodies binding to the antigen on the cell surfac
The United States ranks 27th among the infant mortality rates of the world. Which factor has the greatest impact on decreasing this rate?
A) Resolution of all language and cultural differences B) Assurance for early and adequate prenatal care C) Provision of more extensive women's shelters D) Encouragement for all women to eat a balanced diet
An older adult has been admitted to a long-term care facility after unsuccessful attempts to continue living independently
The nurse's admission assessment reveals the presence of long, ingrown toenails that appear to contribute to the resident's unsteady gait and decreased mobility. How should the nurse follow up this assessment finding? A) Have the client tested for type 2 diabetes. B) Arrange for the client to be seen by a podiatrist. C) Cut the client's toenails using a sharp blade rather than regular nail clippers. D) Soak the client's feet in Epson salts and trim them short.
The nurse reads the prescriber's orders and prepares to administer a medication "as needed." Which order would the nurse plan to implement?
a. Acetaminophen (Tylenol) 650 mg 1 PO q 6 hours b. Acetaminophen (Tylenol) 650 mg 1 PO q 4 hours prn c. Acetaminophen (Tylenol) 650 mg 1 PO stat d. Acetaminophen (Tylenol) 650 mg 1 PO BID